Spinal surgery becomes inevitable when back pain cannot be managed with medications and/or exercise. This is a major decision and requires planning for many things before, during, and after the surgery.

Before a spinal surgery- This preparation will help in smooth recovery, especially if you do not have a full-time caretaker.

Discontinue pain killers: Discontinue pain killers at least 10 to 14 days before surgery. These are blood thinners and can prolong bleeding during the surgery.

Prepare for blood loss: Most people experience some blood loss, but not excessive.

Use a toilet seat raiser: Sitting and getting up from the toilet seat may be difficult. The seat raiser is used to increase the height, making this movement easy.

Enable easy access to common items: Before heading for the surgery, keep things which are commonly used within easy reach. This will help reduce movement and avoid searching (especially if someone else is going to be doing it).

Stock it up: Cooking may not be feasible during the initial postop period, and so it is advisable to stock up food items (ready to eats, fruits, soups, etc.) which will come in handy.

Slip-ons: Bending down and tying shoes may not be easy, so slip-ons can be used.

Caregiving: It is always advisable to have someone stay over with you during the initial postop days. They could help with regular household chores, cooking, etc.

Lifestyle changes: Ensure you eat well in the days before surgery, quit smoking, quit/use moderate amounts of alcohol, and exercise as advised by your surgeon.

After Surgery- Post surgery, there will be some pain and limitation of movement. It is important to understand that adherence to post-op instructions will improve the success rate of the surgery. Also, recovery time for spine surgery is slightly longer and affects overall quality of life, so psychological preparation is required.

Postoperative medications: These will be given to control infection and pain in the immediate postop period, and should be taken without fail

Rehab: The surgeon will recommend physical therapy and rehab exercises which need to be followed. Complete recovery may take anywhere between 3 to 12 months. During this time, care should be taken to avoid repeat injury.

Support: Adequate back support should be provided using lumbar support and ergonomic chairs, and the right posture should be maintained. Ensure there is no undue strain on the back muscles.

Weight management: With excess weight, there is too much strain on the lower disks. Therefore, weight should be managed to reduce this strain.

Smoking and alcohol should be completely stopped, as healing can be hampered.

With some preparation, spinal surgery can be sailed through smoothly. In case you have a concern or query you can always consult an expert & get answers to your questions!

Fibroadenomas are benign non carcinogenic tumors that occur in the breasts of women. Although the condition may affect females of any age; spanning from pubescent girls to middle aged ladies, yet it is most commonly diagnosed in young women below 30 years of age. Fibroadenomas can be described as a stiff, smooth, supple marble under the skin of your breasts, which move when touched. These tumors which occur in varied sizes, may shrink or expand with time. Diagnosing through biopsies and treatment by surgeries are commonly employed for such a condition.

Types of Fibroadenomas
Fibroadenomas are of two types: simple fibroadenomas and complex fibroadenomas. The simple tumors are usually harmless and almost look the same under the lens of a microscope. On the other hand, the complex tumors are comprised of macro cysts (large fluid-filled sacs) and calcifications (deposits of calcium) which can slightly increase the chance of breast cancer.

What is the primary cause of Fibroadenomas?
Doctors aren't able to pinpoint the chief cause of fibroadenomas, but they have reasons to believe that the condition may pertain to the reproductive hormones. The condition may occur during pregnancy or during the use of hormone therapy, owing to which, the tumors may increase in size. The tumors are usually seen to shrink postmenopause, when the hormone levels start to dwindle.

Fibroadenomas are apparent and you may be able to detect them even without a doctor. The marble like tumor within your breasts are usually:
1) Painless
2) Firm
3) Rubbery and elastic
4) Easily movable

These tumors can range from being too small to as big as 3 inches or more in diameter. These lumps, which are usually harmless may be a cause of concern if they start to grow or change. Consulting a doctor is duly advised in such cases.

Risks
Fibroadenomas, only in the rarest cases, increase the likelihood of breast cancer. A complex fibroadenoma comprising of cysts or thick tissues called calcifications may aggravate your condition. Causes of concern could be if the tumor pains, a family history of cancer or an event of a questionable biopsy report. In case you have a concern or query you can always consult an expert & get answers to your questions!

This treatment is being suggested on bases of the information provided. However
I would like to examine & investigate the patient in detail.
Rule out Hypertension, Diabetes or any other metabolic disorder.
Any way it may be tried,
--. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days.
--. Caldikind plus (Mankind) 1 tab OD x 10 days.
(You may need help of your local doctor to get these medicines.)
--. Fomentation with warm water. Let the part not be exposed to cold air flowing from air conditioner.
--. Sleep on a hard bed with soft bedding.
--. Use no pillow under the head.
--. Avoid painful acts & activities.
-- .Do mild exercises for neck & shoulders. --.(Take help of a physiotherapist).
--Do not ignore, let it not become beginning of a major problem.
--Do ask for a detailed treatment plan.
Kindly make sure, there is no allergy to any of these medicines.
--For emergency treatment Contact your family doctor or visit nearest hospital.
--Wish you a quick recovery & good health.
--I hope, I have solved your problem to your satisfaction.

Word arthritis comes from the Greek arthronmeaning “joint” and the Latin itis meaning “inflammation.” Arthritis affects the musculoskeletal system, specifically the joints. It is the main cause of disability among people above 55 years of age in industrialized countries.

Arthritis is not a single disease – it is an umbrella term that covers more than 100 medical conditions. Osteoarthritis (OA) is the most common form of arthritis and generally affects elderly patients. Some forms of arthritis can affect people at a much younger age.

OSTEOARTHRITIS – usually occurs with age, as cartilage loses elasticity. Risk factors include: old age; joint injury; poorly formed joints; excessive weight; genetic defects; stress on the joints from certain jobs or sports.The symptoms of osteoarthritis develop slowly and get worse as time goes by. The most common affected joints are in the hips, hands, knees and spine. The joint become stiff sometimes swollen and loses its flexibility, especially first thing in the morning.

RHEUMATOID ARTHRITIS – is an inflammatory form of arthritis. The synovial membrane (synovium) is attacked, resulting in swelling and pain. If left untreated the arthritis can lead to deformity.
Among the symptoms of rheumatoid arthritis are swollen, inflamed, stiff and painful joints. The fingers, arms, legs and wrists are most commonly affected. Symptoms are usually worse on waking in the morning but get better half an hour later. Weight loss is common.

INFECTIOUS ARTHRITIS (septic arthritic) – is an infection in the synovial fluid and tissues of a joint. It is usually caused by bacteria, but could also be caused by fungi or viruses.
Symptoms of infectious arthritis include fever, joint inflammation and swelling. Tenderness with joint pain is always noticeable. Usually symptoms are linked to injuries or other illnesses.

JRA can manifest in any of three ways:

1. Pauciarticular JRA, the most common and mildest. The child experiences pain in up to four joints.
2. Polyarticular JRA affects more joints and is more severe. As time goes by, it tends to get worse.
3. Systemic JRA is the least common. Pain is experienced in many joints. It can spread to organs. This can be the most serious JRA.
Sufferers of Juvenile Rheumatoid Arthritis are often children with poor appetite, weight loss, anemia, and intermittent fever.

TREATMENTS

As one of the most popular holistic systems of medicine, homeopathy is a safe and permanent way of eliminating arthritis. A remedy is chosen based on the theory of individualization and symptom similarity. In this way, a state of complete health can be regained, removing all the signs and symptoms from which a patient is suffering.

Below is a list of acute arthritis remedies, along with a description of the disease they treat. Keep in mind that these remedies may only act as immediate palliatives and will not permanently cure arthritis unless they are a constitutional match for the patient.

Bryonia alba – Excellent arthritis remedy for pain with inflammation that is aggravated by movement and relieved by moderate pressure and rest.

Ledum – Remarkable arthritis remedy for gout and ascending rheumatism. Works best by cold application.

Rhus Tox – For pain aggravated by first movement and damp weather and made better by continuous motion.

Colchicum – For pain made worse by motion, touch or mental effort, better by warmth and rest. Mostly for gouty pain.

Kalmia – Well known arthritis remedy for descending pain, or pain with heart palpitation and slow pulse.

Guaiacum – For gouty abscesses of joints, and pain relieved by cold bath and cold application.

Dislocation refers to an injury, which causes the bones to abnormally separate from each other in the joint, which is the meeting place of the bones. Dislocation causes intense pain and is most common in the fingers, shoulders and the elbows. Although a timely diagnosis can make your pain go away, any future injury in the tendons or the ligaments might bring back the injury.

What can cause a dislocation?
The causes of dislocation are as follows:

A body joint can get dislocated if you have suffered a fall.

If you are into any form of sports that requires strenuous physical activity and intense exertion on certain body parts like gymnastics, football or volleyball you have a chance of suffering from dislocated body joints.

Automobile accidents can also cause dislocation of joints.

Some People who are with a loose ligament and are more likely to get a dislocated joint than other people. This may happen without the influence of a major physical trauma or stress.

Understanding the signs and symptoms
In the majority of the cases, a dislocation of the joint is easily detectable as it induces inflammation along with redness and deformation of the affected area. Some of the other symptoms that might occur as a result of the dislocation of the body joints could be:

You might experience severe pain while moving the dislocated joint.

There will be a lack of sensation near the dislocated portion.

There might be a stinging sensation in the dislocated area.

In certain areas you may not be able to move the joint at all

If you have a dislocated joint, the doctors can easily relocate them. Depending on the amount of swelling and pain you are experiencing, the doctor might administer local anesthesia during the process. If the joint dislocation is too severe or has multiple instances of dislocation, then you may have to undergo surgery. Surgery may also be suggested if the adjoined ligaments or tendons are severely affected along with the joints.